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Get Ar 10-336 2007-2025
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How to fill out the AR 10-336 online
The AR 10-336 is a vital document used for certifying a person's disability status for the issuance of a special license plate or certificate. This guide provides clear, step-by-step instructions to assist users in filling out the form online effectively.
Follow the steps to complete the AR 10-336 form online
- Press the ‘Get Form’ button to access the form and open it in your preferred editing platform.
- Complete Part 1 if you are a licensed physician or the applicant (unless you're an organization). Begin by entering the physician's name, address, city, state, and zip code.
- Fill in the details for the person with a disability, including their name, address, city, state, and zip code.
- If applying for a temporary placard, be sure to provide the Social Security number, driver’s license number, or state-assigned identification number for the person with a disability.
- Indicate the duration of the disability by circling either 'PERMANENTLY' or 'TEMPORARILY'.
- Check the appropriate box or boxes (A through L) that define the patient’s conditions, ensuring accurate selection.
- If none of the specified conditions apply, provide a permanent medical condition that significantly affects the person's mobility.
- Have the physician sign and date the form to validate the certification provided.
- If applicable, move to Part 2, which is specifically for organizations. Here, fill in the organization’s name, address, city, state, zip, and Federal Employer Identification Number.
- The authorized official of the organization must sign and date the form to finalize the certification.
- Once all sections are completed, save your changes and consider downloading, printing, or sharing the form as needed.
Start completing your AR 10-336 document online now!
Eligibility for a disabled veteran license plate in Arkansas includes veterans who have a service-connected disability rated at 100%. To apply, you need to complete Form AR 10-336 and submit necessary documentation, such as a letter from the VA. Each case is evaluated individually, so ensure your paperwork is thorough. This plate offers not only recognition but also certain parking privileges.
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